<?php

/*
  VoIP Wholesale 1.0
  ------------------
  Document   : form_external_add
  Created on : Sep 16, 2011, 10:14:02 AM
  Author     : Milos Jovanovic <miloscode@gmail.com>
  Description:

 */
?>
<div id="dialog-form" title="<?=lang('text_create_new_route')?>"> 
	<form> 
		<label for="name"><?=lang('term_route_name')?></label> 
		<input type="text" name="data[route_name]" id="route-name" class="text ui-widget-content ui-corner-all" /> 
                
                <label for="dialling_codes"><?=lang('term_dialling_code_s')?></label> 
		<textarea name="data[dialling_codes]" id="dialling-codes" class="module-textarea"></textarea>

		<label for="start_date"><?=lang('term_date_from')?></label> 
		<input type="text" name="data[start_date]" id="start-date" class="text ui-widget-content ui-corner-all" /> 

		<label for="exp_date"><?=lang('term_date_to')?></label> 
                <div class="text ui-state-default ui-corner-all">2099-12-31</div>
                
	</form> 
</div> 

